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You should not pretend that it is. Katsuki Harima, a psychiatrist specializing in gender-identity disorder, said the decision to allow the boy to enrol as a girl seemed appropriate, but would get complicated as he grew older. I didn't always feel comfortable, but I really hate letting my fears and insecurities limit me, so I got used to it. Her SRS can then be done at age 18 or so. From being very withdrawn, I became very bubbly and outgoing. But one thing she is not: With better understanding, how might transsexualism be treated someday? Just as children come in all shapes and sizes, personalities and temperaments, children also show a range of gender expression.